AHMET ULUŞAN, Mehmet Alper HENGİRMEN, Maruf ŞANLI, AHMET FERUDUN IŞIK

16 Yaş Altı Çocuklarda Akciğer Hidatik Kist Cerrahisi: Vaka Serisi

Amaç: Akciğer hidatik kistinin parankim koruyucu cerrahi yöntemleri ile tedavisinin hem çocuklarda hem deyetişkinlerde iyi bir tedavi seçeneği olduğu düşünülmektedir. Ancak bu dönemde yayınlanan, çok az sayıda pediatrikçalışma yapılmıştır. Amacımız, pediatrik hastalarda sonuçları gözden geçirmek ve parankim koruyucu yöntemlerinetkinliğini değerlendirmektir.Yöntemler: Bu çalışmaya pulmoner hidatik kist nedeniyle 2008-2019 yılları arasında opere edilen, 16 yaş altı (ortalamayaşı 8.4± 3,4 yıl) olan 75 hasta dahil edildi.Bulgular: Hastalardan akciğerin farklı bölgelerinde bulunan toplam 108 kist cerrahi olarak çıkarılmıştır. Hastalarınortalama kist boyutu 6,75±2,4 cm’dir. 12 (%16) hastada dev kist tespit edildi. Ameliyat sonrası bir hastada kanama, diğerbir hastada bronkoplevral fistül görüldü. 4 hastada nüks görülürken, mortalite görülmedi.Sonuç: Çocukluk çağındaki akciğerin yapısal özeliklerinden dolayı dev hidatik kistlerin oranı erişkinlerden fazladır. Budurum hidatik kist cerrahisinde lobektomi gibi radikal yaklaşımları akla getirse de parankim koruyucu yöntemlerininetkili sonuçlar gösterdiğini ortaya koyduk.

Lung Hydatic Cyst Surgery in Children Under 16: Case Series

Objective: It is considered that the treatment of pulmonary hydatid cyst by parenchymal protective surgery is a good treatment option in both children and adults. However, very few pediatric studies have been published during this period. Our aim is to review the results in pediatric patients and evaluate the effectiveness of parenchymal preservation methods. Methods: In this study, 75 patients under 16 years of age (mean age 8.4 ± 3.4 years) operated between 2008-2019 for pulmonary hydatid cysts were included. Results: A total of 108 cysts in different regions of the lung were surgically removed from the patients. The mean cyst size of the patients was 6.75 ± 2.4 cm. Giant cysts were detected in 12 (16%) patients. Hemorrhage in one patient and bronchopleural fistula in another patient occurred postoperatively. Four patients had recurrence but no mortality. Conclusions: Due to the structural features of the lung in childhood, the rate of giant hydatid cysts is higher than in adults. Although this may suggest radical approaches such as lobectomy in hydatid cyst surgery, we have demonstrated that parenchymal preservation methods show effective results.

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